Individual
MR. KEITH I.G. SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 S WILLIAM BARNETT AVE, SUITE A, CLEVELAND, TX 77327-4542
(281) 593-1660
(281) 593-0730
Mailing address
108 S WILLIAM BARNETT AVE, SUITE A, CLEVELAND, TX 77327-4542
(281) 659-2355
(281) 592-1570
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G2229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0948168
AETNA
TX
05
—
159830201
—
TX
01
—
63701476
CIGNA
TX
01
—
76-0309941
UNITED HEALTHCARE
TX
01
—
8A6479
BLUE CROSS BLUE SHEILD
TX
Enumeration date
10/23/2006
Last updated
06/27/2011
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